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Acellular dermal allograft for vestibuloplasty--an alternative to autogenous soft tissue grafts in preprosthetic surgical procedures: a clinical report.

Identifieur interne : 000D73 ( Ncbi/Curation ); précédent : 000D72; suivant : 000D74

Acellular dermal allograft for vestibuloplasty--an alternative to autogenous soft tissue grafts in preprosthetic surgical procedures: a clinical report.

Auteurs : Monish Bhola [États-Unis] ; Donald H. Newell ; Everett B. Hancock

Source :

RBID : pubmed:12964686

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English descriptors

Abstract

Various vestibular extension procedures have been described in the literature over the past 6 decades, including the use of free gingival grafts. An acellular dermal allograft has been used as a substitute for autogenous soft tissue grafts in root coverage procedures. This clinical report describes the use of such an allograft as a substitute for palatal donor tissue in the vestibular extension of an edentulous maxillary arch with multiple frenum attachments before fabrication of a complete denture. In this patient, healing was uneventful, and 6-month clinical observations demonstrated an apical positioning of the mucogingival junction with an increase in vestibular depth, and the absence of multiple frenae. The acellular dermal allograft appears to be a useful substitute for autogenous palatal grafts in preprosthetic surgery. This approach has many advantages over the free gingival graft, including no donor site morbidity, unlimited availability, and better color match.

DOI: 10.1016/S1059-941X(03)00039-1
PubMed: 12964686

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pubmed:12964686

Le document en format XML

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<nlm:affiliation>Department of Periodontology and Dental Hygiene, University of Detroit Mercy School of Dentistry, Detroit, MI, USA. monishbhola@hotmail.com</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Periodontology and Dental Hygiene, University of Detroit Mercy School of Dentistry, Detroit, MI</wicri:regionArea>
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<term>Aged</term>
<term>Gingival Recession (surgery)</term>
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<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Labial Frenum (surgery)</term>
<term>Male</term>
<term>Maxilla</term>
<term>Skin Transplantation (methods)</term>
<term>Transplantation, Homologous</term>
<term>Vestibuloplasty (methods)</term>
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<term>Frein labial ()</term>
<term>Gingivoplastie ()</term>
<term>Humains</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Récession gingivale ()</term>
<term>Sujet âgé</term>
<term>Transplantation de peau ()</term>
<term>Transplantation homologue</term>
<term>Vestibuloplastie ()</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Gingivoplasty</term>
<term>Skin Transplantation</term>
<term>Vestibuloplasty</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
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<term>Mâchoire partiellement édentée</term>
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<term>Gingival Recession</term>
<term>Jaw, Edentulous, Partially</term>
<term>Labial Frenum</term>
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<term>Aged</term>
<term>Humans</term>
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<term>Maxilla</term>
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<term>Gingivoplastie</term>
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<term>Mâle</term>
<term>Récession gingivale</term>
<term>Sujet âgé</term>
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<term>Transplantation homologue</term>
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<div type="abstract" xml:lang="en">Various vestibular extension procedures have been described in the literature over the past 6 decades, including the use of free gingival grafts. An acellular dermal allograft has been used as a substitute for autogenous soft tissue grafts in root coverage procedures. This clinical report describes the use of such an allograft as a substitute for palatal donor tissue in the vestibular extension of an edentulous maxillary arch with multiple frenum attachments before fabrication of a complete denture. In this patient, healing was uneventful, and 6-month clinical observations demonstrated an apical positioning of the mucogingival junction with an increase in vestibular depth, and the absence of multiple frenae. The acellular dermal allograft appears to be a useful substitute for autogenous palatal grafts in preprosthetic surgery. This approach has many advantages over the free gingival graft, including no donor site morbidity, unlimited availability, and better color match.</div>
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